ANALYSIS OF RISK FACTORS FOR ISCHEMIC STROKE IN RURAL RESIDENTS OF THE AKTOBE REGION

Urasheva Z.U. Khamidulla A.A. Gaisiyeva Z.N. Kabdrakhmanova G.B. Yermagambetova A.P. Utegenova A.B. Ishutina A.G. Zhanuzakova M.M. Omash M.K.
March 2024 Georgian Association of Business Press

Georgian Medical News
2024 #348 Issue 3 144 - 150 pp.

Stroke continues to be a major global health concern, accounting for the fifth highest death rate and a sizable portion of the worlds disability burden. Over 40,000 stroke cases are reported annually in the Republic of Kazakhstan, of which 5,000 people die within the first 10 days and an additional 5,000 within a month after discharge. Even with the establishment of regional stroke centers, a state anti-stroke program, and substantial efforts, rural communities still experience higher rates of stroke-related morbidity and mortality. The purpose of this research is to examine the complex factors, such as disparities in emergency care and elevated risk factors, that contribute to the variation in the incidence of stroke between rural and urban areas. Rural inhabitants lesser knowledge of stroke symptoms is a result of educational and socioeconomic differences, which causes systemic delays in care. Just 1% of rural residents live within 60 minutes of a primary stroke center, indicating a lack of access to specialized stroke care. In terms of intravenous thrombolysis performed, urban hospitals perform better than rural ones. The study shows that the mean age of the patients is 62.2±11.9 years, confirming the presence of an average age in the group. Women make up 40.2%, men - 59.8%. An average BMI of 27.6±4.5 may indicate a predominance of excess weight. The NIHSS score decreases from admission (7.64±4.85) to discharge (5.98±6.02), which may indicate a positive effect of treatment. A decrease in MRS reflects improvement in disability after treatment. Analyzing the dependence on place of residence, it was revealed that the largest number of patients came from districts 5 and 10. Analyzing the NIHSS and MRS indicators, statistically significant differences were identified depending on the presence of diabetes, arrhythmia and atherosclerosis. The rate of stroke severity and disability on admission is significantly higher in patients who die. A model for predicting unfavorable outcome was developed, which showed the statistical significance of the factors of cardiac arrhythmia and NLR.

ischemic stroke , neurophil to lymphocyte ratio , NLR , risk factors , rural , Stroke , urban

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Department of Neurology, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
The Biostatistics Sector, Department of Management of Research Activities, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
the Department of Neurology, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan

Department of Neurology
The Biostatistics Sector
the Department of Neurology

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